| NPI | 1891265757 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 104421645)  | 
| Enumeration Date | 2018-12-04 | 
| Last Update Date | 2022-08-05 |